E-LOGS MEDICINE
BIMONTHLY BLENDED ASSESSMENT - JULY,2021
-108 R.KOUSHIKCHANDRA
BELOW IS THE LINK TO THE QUESTIONS ASKED TO US :
http://medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1
QUESTION-1
Peer review: Review the last assignment of the person closest to your roll no
Give positives, negatives, or comment on relevancy of the answers.
For the peer review I chose 109 Sumanth raj's E-LOG:
1.The review of each case is well presented with all the pros and cons of the case.
2.Reviews of different cases like pulmonology, cardiology, nephrology hepatic diseases are well explained.
3.Anatomical localization and Symptomatology of the diseases are orderly described.
4.All the reviews are brief and easily understandable.
5.Overall review is good and the highlighted text is easy to understand and explains the importance of the case.
QUESTION-3
Peer review of patient centered data around the theme of renal failure patients with AKI, CKD and acute on CKD, captured by students from 2016 and 2019 batch
Complaints, history of present and past illness is well described, treatment history is elaborate, many investigations are easily explained.
2.ACUTE ON CKD case:http://srinaini25.blogspot.
This is a case of chronic kidney disease. All the identifications and investigations are headed towards the disease, as he had radiating pain towards backward. All the points are well described.
General and systemic examination is to the point , pictures and histological presentation is good and the serological findings are good.
4.Patient with coma and renal failure case:https://ananyapulikandala106.
History of present and past illness is coherent and well established. Investigations showing ECHO and related photos are remarkable. The videos are great for understanding of case. It would be better if text would be highlighted better and use some colors for headings. Overall the case is well written and easily understandable.
5.Patients with acute on CKD case:https://rishikakolotimedlog.
All the points are coherent and comprehensive, the matter is easy to understand. HFrEF secondary to CAD is the diagnosis.
6.Patient with coma and renal failure case:https://pallavi191.blogspot.
All the data of the patient is in correct order and correctly arranged. The usage of text can be better. The highlighted text is easy to understand.
7.Patients with acute on CKD case:https://kavyasamudrala.
Patient history is well explained, the personal history, systemic and clinical examination is well presented. Treatment is in orderly manner.
8.Patients with AKI case:https://keerthireddy42.
X-rays and photos give better insight about the case and patient. Alcoholic hepatitis occurred as because of consuming alcohol previously.
9.Patient with AKI case:https://casescape.blogspot.
History of present and past illness is well defined. Complete urine examination and the data of ECG and the ultrasound imaging's and findings are well done.
10.Patient with AKI case:http://chavvaclassworkdecjan.
Pancreatitis occurred due to chronic alcoholism. Many investigations are done including ultrasound to get a detailed view of the liver and if condition due to alcoholism.
QUESTION-4
CASE-1
Diagnosis : AKI secondary to UTI, associated with Denovo - DM -2
Treatment :
1)IVF : -RL @ UO+ 30ml/hr -NS
2)SALT RESTRICTION < 2.4gm/day
3)INJ TAZAR 4.5gm IV/TID
4)INJ PANTOP 40mg IV/OD
5)INJ THIAMINE 1AMP IN 100ml NS IV/TID
Treatment :
1)IVF : -RL @ UO+ 30ml/hr -NS
2)SALT RESTRICTION < 2.4gm/day
3)INJ TAZAR 4.5gm IV/TID
4)INJ PANTOP 40mg IV/OD
5)INJ THIAMINE 1AMP IN 100ml NS IV/TID
CASE-2
Diagnosis : Hyperuricemia 2° to Renal failure
Treatment:
• IVF - NS-0.9% @100ml/hr
• Inj. Tazar 2.25gm I.V -TID
• Inj. Lasik 40mg I.V -BD
Treatment:
• IVF - NS-0.9% @100ml/hr
• Inj. Tazar 2.25gm I.V -TID
• Inj. Lasik 40mg I.V -BD
CASE-3
Diagnosis: Chronic interstitial nephritis secondary to plasma cell dyscariasis
Treatment:
- T. PAN 40mg /PO / OD
- oral fluids up to 1.5 - 2 lit / day
- Protein - x ( plant based ) 2 tablespoon in 1 glass of milk
Treatment:
- T. PAN 40mg /PO / OD
- oral fluids up to 1.5 - 2 lit / day
- Protein - x ( plant based ) 2 tablespoon in 1 glass of milk
CASE-4
Diagnosis: DKA with AKI
Treatment:
Inj. NORAD 2amp in 50ml NS
Inj. PIPTAZ 2.25gm.
Inj. DOPAMINE 2amp in 50ml
Inj. HAI 1ml in 39ml NS
Treatment:
Inj. NORAD 2amp in 50ml NS
Inj. PIPTAZ 2.25gm.
Inj. DOPAMINE 2amp in 50ml
Inj. HAI 1ml in 39ml NS
CASE-5
Diagnosis: HFrEF secondary to CAD; CRF
Treatment:
Treatment:
1. TAB. BISOPROLOL 5mg OD
2.TAB. NITROHART 20/37.5mg 1/2 T/D
3.TAB NICARDIA XL 30mg OD
4.TAB. GLICIAZIDE 80mg BD
5.TAB. NODOSIS 500 mg TD
2.TAB. NITROHART 20/37.5mg 1/2 T/D
3.TAB NICARDIA XL 30mg OD
4.TAB. GLICIAZIDE 80mg BD
5.TAB. NODOSIS 500 mg TD
CASE-6
Diagnosis: INFECTIVE ENDOCARDITIS
Treatment:
Treatment:
1. Inj. Monocef 1gm IV/BD
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Proctoclysis enema
4. Inj. Pan 40 mg Iv/OD
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Proctoclysis enema
4. Inj. Pan 40 mg Iv/OD
CASE-7
Diagnosis: Renal AKI secondary to urosepsis with b/L hydroureteronephrosis
Treatment:
Treatment:
Injection PANTOP 40mg IV/OD
Injection PIPTAZ 4.5 stat and 2.25 gm IV/ TID
Injection LASIX 40mg IV/BD
Injection optineuron 1AMP in 100ml NS slow IV/OD
Injection PIPTAZ 4.5 stat and 2.25 gm IV/ TID
Injection LASIX 40mg IV/BD
Injection optineuron 1AMP in 100ml NS slow IV/OD
CASE-8
Diagnosis: Alcoholic Hepatitis and aki sec to gastroenteritis
Treatment: INJ THIAMINE 100 mg in 100 ml NS slow IV / TID
INJ OPTINEURON 1AMP in 100 ml NS slow IV / OD
INJ LASIX 40 mg
CASE-9
Diagnosis: Acute Kidney Injury secondary to Urosepsis
Treatment:
Treatment:
Inj LASIX 40mg (8am- 2pm -8pm)
IVF - NS @ UO + 50 ml/hr
IVF - NS @ UO + 50 ml/hr
CASE-10
Diagnosis: pancreatitis in a chronic alcoholic
Treatment:
IV lasix 40 mg BD .
Tab Nodosis .
IV PIPTAZ 4.5 Gms. BD
Iv 25%Dextrose. 100 ml BD
Iv fluids : NS 40 ml /hr.
Treatment:
IV lasix 40 mg BD .
Tab Nodosis .
IV PIPTAZ 4.5 Gms. BD
Iv 25%Dextrose. 100 ml BD
Iv fluids : NS 40 ml /hr.
QUESTION-5:
All the cases which we have seen during our clinical online classes and the e-logs we did about different cases and patients gave us a very good insight about different diseases. We are able to learn about differential diagnosis of the diseases, symptoms, general examination and much more. General medicine department are helping us a lot even during this Covid pandemic situation and the interns assigned to us are helping us with the cases. Overall we came to know a lot about the subject and how the patients are treated in the hospital and we are grateful for this. Discussing the topic with my friends made my work a bit easy.
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